Basic Information
| Provider Information | |||||||||
| NPI: | 1942272166 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | PT, SCS, ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6900 GEORGIA AVE NW | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203070003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027823321 | ||||||||
| FaxNumber: | 2027823800 | ||||||||
| Practice Location | |||||||||
| Address1: | DILORENZO TRICARE HEALTH CLINIC | ||||||||
| Address2: | CIORRIDOR 8, RM MG914/918 5801 ARMY PENTAGON | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7036928981 | ||||||||
| FaxNumber: | 7036920941 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251S0007X | PT005956L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No ID Information.